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目的:观察中西医结合药物治疗异位妊娠临床疗效。方法:采用中西医结合三联疗法,即中药汤剂口服,联合甲氨蝶呤和米非司酮同时治疗的方法。中药汤剂水煎100mL,日3次口服;甲氨蝶呤0.4mg/(kg.d),肌注,5天为1个疗程,在治疗的第4日和第7日测血清β-HCG,若下降<15%则需要重复治疗;米非司酮25mg,日2次口服,连服3天,在第4天测β-HCG,若下降<15%,则停药3天后要重复疗程。结果:成功59例,失败7例,成功率为89.1%。结论:中西医结合药物治疗异位妊娠取得良好的临床疗效,可广泛应用于临床。
Objective: To observe the clinical efficacy of traditional Chinese medicine and western medicine in the treatment of ectopic pregnancy. Methods: Integrative Medicine triple therapy, that is, Chinese medicine decoction oral, combined methotrexate and mifepristone at the same time treatment. Chinese medicine decoction decoction 100mL, 3 times a day orally; methotrexate 0.4mg / (kg.d), intramuscular injection, 5 days for a course of treatment, in the treatment of the 4th and 7th day serum beta-HCG , If the decline of <15% will require repeated treatment; mifepristone 25mg, 2 times a day orally, even for 3 days, measured in the first 4 days of β-HCG, if the decline of <15%, the withdrawal after 3 days to repeat the treatment . Results: 59 cases succeeded, 7 cases failed, the success rate was 89.1%. Conclusion: The combination of traditional Chinese and Western medicine treatment of ectopic pregnancy achieved good clinical efficacy, can be widely used in clinical.